Historic South L.A. Hospital Closure Underscores Need for Healthcare Reform

This weekend, I attended the United Healthcare Workers-West (UHW) Bargaining convention, their a leading union of health care professionals who are embarking on an 08′ campaign to leverage worker organizing, presidential politics and possibly the “netroots” community for systemic health care reform in America. In my neck of the woods, 2008 cannot come fast enough as the federal government is set to pull the plug on the life line of the historic King-Drew County Hospital in Watts, California.

Funding gaps, mismanagement and poor staff training throughout the hospital led to the failing of several reviews over the last three years.

And after failing the final check Friday morning, the emergency room was closed that evening and the remaining departments will flat line in two weeks. What will the underserved communities of South LA do when its residents need emergency care?

I have no answers but I’ll tell you what happened in 1964 before the hospital was built. The largely African American community of South Central LA had to go all the way across the sprawling town to receive basic medical services.

Fast forward to the summer of 1965 when the city erupted in the Watts riots due to the LAPD’s abusive behavior towards the city’s Blacks and the general lack of government services in South Central.

Getting the message, the government listened to community demands and built the county hospital, and named it after Dr. Martin Luther King Jr., even before his death. The Charles Drew Medical University was attached years later. For decades, the school has produced the most African American doctors across the country.

Despite non-stop embarrassments at the vital facility, it served as fruitful training ground for the U.S. military who trained many of its own doctors there. Unfortunately, the violent communities served by the hospital were the closest thing to emulating the trauma care needed within the theatre of war.

While King-Drew hospital is a lost cause for now, it underscores the need for systemic change in the nation’s healthcare apparatus.

While many people believe unions only benefit their own members, I got news for you, UHW wants to reform American health care in a very simple way. It believes we must have a single-payer system that you find in the enlightened nations of planet earth.

The netroots may find agreement with this, but it may not understand what organized labor does.

The way to do it.

In short, UHW has a plan to combine organizing, new and current members to win contracts that establish improved standards across the industry including wage and benefits, job training, staffing levels and a voice in the decision-making process at your local health care facility. They understand that they are often the last line of defense to prevent corporations from making profit based decisions about someone’s health care.

It also understands that its members must participate in politics to ensure they can influence the winner take all elections across the nation. In California, all polls show residents want universal health coverage, but deeper research reveals that most voters are white men who have health coverage and are comfortable with the current system, giving HMO lobbyists a great partner in its quest to keep the bad times rolling.

So UHW is directing resources towards changing the voting electorate so that real reform can be possible.

Combine all of this with the 2008 presidential elections and you can create a climate conducive to great change. Until offline communities will continue to tread water through a tidal wave of HMO care and the netroots may continue to harp with no results.

The path is the way, lets do it together.

Elliott Petty is a blogger for couragecampaign.org and this blog is crossposted at openleft.com and Mydd.com

Did he really say that? Hope for Gov’s signature on SB 840.

The following conversation between Will Tranquill, a participant in the “California Speaks” health care forum and Governor Schwarzenegger, was caught on video by a Fresno news channel.

TRANQUILL: “If we can get 840 through, what will you, will you not veto it this time?”

GOV: “Absolutely, as soon as we have the money for it. Remember, that’s the most important thing.”

TRANQUILL: “The money’s there.”

GOV: “No, it’s not there.”

Schwarzenegger has repeatedly said he would veto SB 840. Could he be having a change of heart, or is he back to his old tricks?

Here’s a hint: There’s no way he signs SB 840. Perhaps he didn’t understand the question.

Story and video available here. The above snippet starts at about 1:30 into the video.

The Coming National Budget Battle And Learning From California

Everyone else is doing such a great job on the budget that I don’t have much to say on that issue except what Mark Leno said.  But I will note that this issue of budgetary intransigence by radical Republicans is about to go national, and how we’re dealing with it in California should be a lesson for the nation.  I hope the Democrats are paying attention.

In his exit interview yesterday, Karl Rove tipped the hand the Republican strategy to resuscitate the President’s approval ratings.

Mr. Rove also said he expects the president’s approval rating to rise again, and that conditions in Iraq will improve as the U.S. military surge continues. He said he expects Democrats to be divided this fall in the battle over warrantless wiretapping, while the budget battle — and a series of presidential vetoes — should help Republicans gain an edge on spending restraint and taxes.

In fact, the President has been signaling this for a while, saying that he will veto any appropriations bill that doesn’t fall in line with his spending targets.  Never mind that Presidents don’t set budget policy, or that Bush allowed massive spending increases when the Republicans were in charge of Congress.  This is a play-to-the-base strategy to fire up conservatives by picking a massive fight with the Democrats over spending priorities.  And it will essentially force the budget items to be decided by overriding the veto, with a… wait for it… 2/3 vote.

Now, there are a LOT more Republicans in Congress that would have to be pressured into accepting the budget than Republicans in the California Legislature.  So I’m pessimistic  about the strategy for squeezing them.  I’m more interested in how we can win the rhetorical battle, and how we can learn from the California situation and empower the spine-challenged Democratic leadership from not caving on this one and doing the right thing.

While not many people are really watching the budget battle here, they most certainly will be watching the national battle and possible government shutdown.  There will be reminiscenses of 1995 and Newt Gingrich’s shutdown, and caution from the Beltway media that Congress should learn from Gingrich’s mistake and pull back.  That is absurd, since the President would be triggering the shutdown, and the budget priorities the Democrats are putting together are very much in line with what the public desires.  Still, we are seeing in California that disgust with the budget stalemate reaches across party lines and sours the public mood on government overall.  I believe this is the GOP strategy, to again make government a four-letter word and hope that their new “outsider” challengers (who will either be lobbyists or rich businessmen) can capitalize on it.

The key here, I think, it to define the tactic early, before Congress returns to session.  Fabian Nunez, Don Perata, and Governor Schwarzenegger are now excoriating the Republican obstructionists for delaying vital services for Californians.  This probably happened a few weeks late.  The Republicans have dug in their heels and have no exit strategy; in fact, not exiting IS the strategy.  To combat this on the national level, Nancy Pelosi and her leadership team need to be thinking about this now instead of reacting to the inevitable veto.  They need to be warning Republicans in Congress that tying themselves to the President is committing political suicide, and that they’re part of Congress too, and approval ratings cut both ways (especially in the Senate, where 22 Republicans are up for re-election as opposed to just 12 Democrats).  The best way to frame this is much like the Social Security debate.  We need to start proudly defending the budget priorities and make it completely toxic to act against them.

Maybe some of my colleagues who are little more plugged into the state battle would like to chime in.  How can we win this battle of ideas?

Assembly Reps Want in on that Prison Goodness

(bump. – promoted by Brian Leubitz)

Because, you know, they are ToughOnCrimeTM.  31 Assembly Republicans have filed to intervene, a legal procedure that would allow them to participate in the case, in the prison class action lawsuit. 

Thirty-one Assembly Republicans filed the motion in U.S. District Court asking, in essence, for more time to solve the crowding problem. According to the motion, a prison bill approved in May will help improve conditions in California's 33 prisons, where more than 173,000 inmates live in facilities built for 100,000. The $7.8 billion plan calls for 53,000 new prison and jail cells. Last month, federal judges in two class-action suits involving the impact of crowding on inmate medical and mental health care ordered a three-judge panel to recommend solutions to the crisis. In the process, the judges rejected the state's proposal and suggested that it would make matters worse for the prison system.

*               *            *

“We're the ones who appropriate the money. We're the ones who write the laws with respect to corrections, and we're not even at the table,” [Asm. Todd] Spitzer, R-Orange, said Monday. “That is unconscionable.”

 More of the same from Spitzer over the flip

Spitzer, for his part, is doing his best to make sure he can play to his reactionary constituents. Of course, the fact that the Republican party, and the Assembly Republicans, and really the Legislature as a whole, has made the situation so bad, has no impact on his thinking. He can't fathom the possibility that just locking more and more people up can't be a good thing. That's being ToughOnCrimeTM! That must be good!

 “The three-judge panel is getting set to act under a federal prison cap statute that has never been tested in any state in the nation to date. California would be the first,” Spitzer said in a written statement. “Any early release would jeopardize public safety and make a mockery of a system where sentences are expected to be fully served.”

Sentences must be served! We made irrational sentences for these people and they must serve them! Must! I am Tough! I drive a Dodge Stratus! 

Check Out the Recent CDP Resolutions

(crossposted from The Liberal OC. Always a hot topic of conversation around these parts…the CDP Resolution Process. – promoted by Brian Leubitz)

The resolutions passed by the California Democratic Party at the July e-board meeting are now on the CDP’s website. The fact that there are a very large number of them is due to the quorum call at the April meeting that shut down all business. Check out some examples over the flip.

A lot of people bag on the CDP for various reasons, but I don’t think they can realistically be faulted for failing to take principled (and progressive) positions. Assure That Parents Know Their Right to Opt-Out Of the Military Recruitment Requirement of the No Child Left Behind Act (NCLB)

Calling For the Closing of the Prison Facility at Guantanamo Bay, Cuba

Censure of the Commander-In-Chief for Dereliction of Duty

End the War, Stop Funding Military Operations in Iraq, Revoke the Original Authorization and Assert the War Powers Act

Opposing Blackwater West and Mercenary Training in California

And several others.

Budget: Arnold Vs. The GOP?

The pressure emanating from the Assembly, specifically the Speaker’s office, and from the Senator Perata and the rest of the Democratic Senators, and even Assembly Republicans has seemingly been insufficient to get the Republicans in the Senate to cast off the anti-government right wing of their party and their associated blogs.  So, on Monday, Governor Schwarzenegger, finally, got into the action.  I was going to title this something to do with muscles or terminating or something like that, but I’m all punned out. So, I’ll just have to settle for Arnold in battle mode.

On Monday, the Governator visited the districts of Sen. Abel Maldonado and Sen. Dave Cogdill.  Arnold praised Maldonado, so we should expect to see the Governor in his Monterrey district if there is in fact a primary challenger in June.  Cogdill seems an unlikely Senator to flip his vote in favor of the budget, so instead Arnold focused his musculatory power at Sen. Jeff Denham, a “moderate” (that’s a wee bit generous) whose district leans towards the middle.  Denham, for his part, apparently didn’t appreciate the attention.  From the LA Times:

“He should get a lot of heat,” Schwarzenegger said of Denham, prompting the healthcare clinic workers who were standing behind the governor to break into applause. “If you think of one person who can make the budget pass, Sen. Denham could do it. I hope everyone here today calls the senator. Call him. Say, ‘It is up to you now. You are our man.’ “

Denham later issued an angry written statement.

“Governor, let me repeat myself again, since perhaps you are not listening yet,” he wrote. “I will not be bullied, intimidated or pressured into voting for a budget with inflated revenues, unaccounted expenses or accounting gimmickry.” (LA Times 8/14/07)

Well, perhaps this is it. Perhaps this is where the rubber hist the road for the California GOP. The Democrats in the legislature seem unlikely to grant the GOP a reprieve in the form of an emergency spending measure, and the Republicans must now choose. Do they continue to rebuff the will of the vast majority of California voters? Will this be Arnold’s Last Stand? Is this Arnold really standing up the right wing of his party?

We discussed the possible immolation of a tenuous coalition on a thread a few days ago.  More moderate, you might call them “BusinessReeps”, Republicans who are interested in, you know, plundering a large government bureaucracy might be feeling growing pains with the far-right Social Conservatives.  It’s a tent built by Bush and Rove, and like much else of their doing it seems to be crumbling.  And, like many things in politics, California seems to be leading the nation.  The souring relationship between Schwarzenegger, the former poster boy of the GOP, and the far-right, could have long-lasting effects for political alignment both in California and the nation as a whole.

We might just be blogging a turning point in history right now.  Keep your eyes on the ball, because where this one bounces, nobody knows.

The Bush Energy Policy at Work in Southern California

(Who gets the money? Corporations. Who doesn’t see a benefit? Consumers. Welcome to San Diego. – promoted by Lucas O’Connor)

In October of 2004, British Petroleum – Indonesia contracted with Sempra Energy for delivery of liquid natural gas to the western hemisphere. Consequently, Sempra and BP cuts deals with the Mexican government to build a LNG port and storage facility in Ensenada, Mexico on the western coast of Baja California.

Sempra will build a large scale pipeline from their storage facility that will hook up with the existing pipelines in Mexico. The pipelines will ship LPG to Mexicali, where they are constructing a large electric power generation plant. They’ll send the electric power across the border on high power transmission lines which they plan to build across Imperial and San Diego counties.

The California phase of the project is called the Sunrise Powerlink. Sempra’s Sunrise Powerlink is a 150-mile, 500 kilovolt, $1.4 billion transmission line that will cut across the California desert, through Anza Borrego State Park, over the mountains, and through numerous North County rural and suburban communities.

more more more…

There are many who are opposed to the Sunrise Powerlink because of the reasons mentioned above. There are also concerns about environmental destruction, the defacement of state park land, and fire hazard in San Diego’s arid back country. Many people question the need for this line at all, and believe that sufficient power can be generated within the county to meet San Diego’s electricity needs. They see the SPL plan as nothing but a moneymaker for Sempra and San Diego Gas and Electric.

One of the primary benefits originally touted by Sempra was the savings for consumers. However they have repeatedly been forced to slash their estimates of economic benefit. The $447 million in annual consumer savings was first cut to $204 million, and now more recently to $129 million.

The California Public Utilities Commission recently held hearings and extended the EIR process into next year. Sempra was hoping to be well into this project in 2008, but there’s now a significant delay, mostly due to their own inaccuracies and errors, and questions about the environmental impact of the massive project.

BUT,  as it should be expected by now, the federal government rides to the rescue of the energy industry. The Energy Policy Act of 2005 legislated that the Federal Energy Regulatory Commission has a right to declare Energy Corridors of National Interest, and now much of Southern California, and parts of Arizona and Nevada are under consideration to be designated as such. What this means is the US Department of Energy can step in and over-ride the states interest and jurisdiction over energy policy if they claim that it is in the national interest to do so. The law allows them to grant permits to Sempra and other local energy companies to allow them to use eminent domain to lay claim to land to be used for the construction of the Sunrise Powerlink, including state land in the Anza Borrego State Park.

The Department of Energy wants to designate 11 counties in Southern California, western Arizona and southern Nevada as one of two “national interest electric transmission corridors.” The other corridor unveiled yesterday would cover a wide portion of the Mid-Atlantic region, stretching from Maryland to New York and as far west as Ohio.

The two corridors, the first selected after months of study and comment, mark a major policy shift in which decisions on critical power lines could be approved by federal regulators over the objections of state officials.

“The parochial interests that shaped energy policy in the 20th century will no longer work,” Energy Secretary Samuel Bodman said yesterday.

People rightly worry about about the federal government allowing a Bush administration favored corporation like Sempra to claim private property, and state owned park land through eminent domain. What a sweet deal for them though! They must be as happy as pigs at the trough. Once again, California gets screwed while the energy industry gets a big, wet kiss. Between this project and the energy industry’s manufactured “California energy crisis”, I’m sensing a trend.

There are a multitude of reasons why a close eye should be kept on this entire project, from the port to the pipeline to the powerlink. The need for this powerlink is questionable. The environmental and aesthetic impacts of this project will be significant, especially in light of circumstances surrounding the building of energy related infrastructure south of the border where environmental, health, employment and safety standards are less stringent than in the United States. And last but not least, the relationship between the energy companies and the federal government is a wee bit too cozy. The Sunrise Powerlink and it’s related projects deserve the public scrutiny they’re receiving, and much, much more.

August 13, 2007 Blog Roundup

Today’s Blog Roundup is on the flip. It’s quick, it’s dirty, and there aren’t any categories today. Let me know what I missed.

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California State Budget Needed Now So Prenatal Health Clinics Can Remain Open

(Welcome Speaker. As per our policy of bumping diaries of electeds, up this goes. – promoted by Brian Leubitz)

Earlier this week I visited the Birthing Project in Sacramento, a health clinic a few blocks away from the State Capitol. The Birthing Project staff works very hard on behalf of their clients to increase healthy pregnancies and successful births – something you’d think typically anti-choice Republican politicians would rhapsodize about. Instead, the Birthing Project and health clinics like it throughout California — who treat newborns and seniors and everyone in between — are in danger of closing their doors or eliminating services because a handful of Republican State Senators are refusing to provide one additional vote to pass the state budget.

With Senate Republicans holding out on the budget, state payments to keep clinics like the Birthing Project open stopped two weeks ago. For facilities that only get by on the skin of their teeth anyway, not getting these state funds is a huge blow. The harm caused to clinics like these is totally unnecessary and totally reversible — as soon as one more Republican member of the State Senate does his job, finds his conscience, and votes for the state budget.

The Assembly passed a budget that meets the constitutional requirement to be balanced back on July 20. That budget has a reserve of $3.4 billion – the highest in history and more than a billion dollars higher than what the Republican Governor proposed in his budget. The budget makes deep cuts in a number of areas that were not acceptable to Democrats, but, in the spirit of compromise and a responsible effort to enact a budget, we reluctantly agreed to these cuts.

More over the flip…

The balanced budget passed by Democrats and Republicans in the Assembly is supported by all Senate Democrats, Governor Schwarzenegger and one Republican Senator who broke ranks so Californians wouldn’t be harmed by an ongoing budget stalemate.

The constitution requires a two-thirds vote in each house of the legislature to pass a budget. In fact, two-thirds of the legislature does support the Assembly budget – but one more Republican vote in the Senate is needed for actual passage.

Senate Republicans are holding up the budget over totally unrelated issues, such as their desire to weaken CEQA, California’s premier environmental law, to benefit oil companies and developers. That’s not a budget issue (and it’s not going to happen).

Some of the Senate Republican holdouts did vote for last year’s budget, which is interesting given that the reserve last year was only $2.1 billion, compared to the $3.4 billion reserve in this budget. Last year’s budget had a “structural deficit” (the amount expenditures for a year exceed revenues collected in that year) of $6.9 billion compared to $699 million in this budget. Last year’s budget increased spending 9.2% while revenues were projected to grow only 1.7%. This budget does the opposite, limiting expenditure growth to 1.3% while revenues are projected to grow 6%.

This budget has been described, accurately, as a dream Republican budget. But as long as the “Gang of Fourteen” Republican holdouts in the Senate keep holding the budget hostage, it’s a nightmare for the Birthing Project and for other important programs that rely on state funding.

It’s time for all Californians to turn up the pressure on those 14 Senate Republicans to counteract the hyper-partisan pleas they are getting to hold out.

Like most Californians, the people at the Birthing Project don’t care what political web sites say. They don’t care who’s ahead in the Senate Republican leadership fight. They don’t care who’s running for Lt. Governor in 2010.

They just want to be able to do their jobs.

Which means one more Republican Senator needs to do his job, find his conscience, and vote for this responsible budget.